急诊内科昏迷患者临床诊治探讨  

Clinical Diagnosis and Treatment of Emergency Medical Department Coma Patients

作　　者：李海忠[1] 

机构地区：[1]中山市博爱医院,广东中山528400

出　　处：《深圳中西医结合杂志》2017年第18期88-89,共2页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨急诊内科昏迷患者的诊断和治疗方法。方法:以2011年1月至2013年1月在中山市博爱医院接收治疗的60位昏迷患者作为研究对象,探究分析患者的发病原因、病情特征和治疗方法。结果:急诊内科患者产生昏迷现象的原因主要是由脑血管疾病、糖尿病和急性中毒等三个病症造成的,且三种疾病的患者在昏迷患者中分别占38.7%、30.6%、24.1%。经过竭力的抢救治疗后,60位患者中有55例(91.67%)患者成功幸存下来,其余5例(8.33%)患者未能抢救成功,最终死亡。结论:昏迷的患者由于病因不明,加之病情复杂,所以在诊断和治疗时最好结合患者疾病的临床特征,以便减少时间的浪费,从而确保患者的生命安全,降低昏迷后的死亡率。Objective To investigate the diagnosis and treatment of emergency medical patients with coma. Methods in our hospital from January 2011 to January 2013, receiving treatment of 60 patients with coma as the research object, explore analysis because the hair cause of disease, the patient characteristics and treatment methods. The results after research and analysis the results of that patients with emergency medical causes of coma phenomenon is mainly caused by cerebrovascular disease, diabetes, and three diseases such as acute poisoning, and three diseases of patients in coma patients accounted for 38.7 %, 30.6 % and 38.7 %respectively. After trying to salvage therapy, 60 patients with 55（91.67 %） patients were successfully survived, the remaining 5 patients（8.33 %） failed to rescue back, eventually die. Conclusion coma patients with unknown etiology and condition is complex, so the diagnosis and treatment of patients with the best combination of disease clinical characteristics, in order to reduce the waste of time, to ensure the life safety of patients, reduce the probability of coma after death.

关 键 词：急诊内科 昏迷 急救 

分 类 号：R459.7[医药卫生—急诊医学]